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Summary of Significant Accounting Policies Restricted Cash (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Mar. 31, 2018
Dec. 31, 2017
Settlement agreement installment paid $ 1,400 $ 10,300    
Cash and cash equivalents in balance sheet 34,281 46,407    
Restricted cash, current portion in balance sheet 399 4,597    
Total cash, cash equivalents and restricted cash in statements of cash flows 34,680 $ 51,004 $ 39,690 $ 13,021
Letter of Credit        
Decrease in restricted cash $ 4,200